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Politics : Sioux Nation -- Ignore unavailable to you. Want to Upgrade?

To: Wharf Rat who wrote (63825)	4/11/2006 1:51:00 PM
From: Karen Lawrence	Read Replies (1) \| Respond to of 361921

Moms on valium in the 60s. Meth - My BF's Chicago buddy called to complain he couldn't get OTC cold medicine without a special tag. He did some research only to discover that it's Oregon's fault... I see red-tagged houses, condemned because they'd become drug labs all over the place here.

To: Wharf Rat who wrote (63825)	4/11/2006 2:23:27 PM
From: Wharf Rat	Respond to of 361921

Rat rant... Overmedication is probably a sub-set of over-treatment. I'm not the doc,so I see things a bit differently than they do. Case in point. We get a lot of people with obstructive sleep apnea, OSA. They have periods of time in which they quit breathing while they are sleeping. OSA (as distinct from central,or brain induced) is usually caused by obesity. So, do we tell them to lose weight? Do we tell them that OSA isn't that bad, and maybe just catch 40 winks here and there during the day. Uh uh. We say we have this neat little machine we can rent/sell them that hooks up to a mask you wear all night that keeps your fat tongue from blocking your breathing.. Discipline, folks. Why should we pay cuz you are too fat to breathe right? Case 2. We had this guy with very low oxygen. Was living at home on 2 liters of O2. He comes in with very low saturation levels of O2. We like to see the number at 90%. Enuf oxygen to function, not too much to block body's response to xsO2, which is to slow down breathing, and in the case of some lungers, cause the CO2 to rise. OK, so this guy is like 75% or something. Scary number. So he gets a mask at 15 liters, and his sats get where we like them. But the guy has to eat, and you can't eat with a mask. Put him back on nasal O2 and he drops into the 70's for his meal. BUT he mentates exactly the same. His heart rate doesn't change. Come on, docs, this is where the guy lives. Don't try to make him normal; make him normal for himself. (And, don't forget; O2 drops with age. Oh, you forgot? Here...PO2=103-0.4 times the age...yer welcome) OK, end result. This guy is in charge of organizing a meeting of vets who fought in 3 wars. Think he was the keynote speaker, too. But cuz his O2 is low, he's now headed off to my old stomping grounds, the Palo Alto VA, on mask O2 and no chance of making his meeting. Damn